UnitedHealthcare Community Plan of D.C.
UnitedHealthcare Community Plan of D.C. is a Medicaid managed care organization under UnitedHealth Group providing comprehensive healthcare coverage and care management to Medicaid-eligible individuals and families in Washington D.C., including seniors, maternal health, and complex care populations.
- Company typePublic
- Founded1977
- Headquarters—
- Headcount—
- GTM typeB2C
- OfferingServices
What UnitedHealthcare Community Plan of D.C. does
UnitedHealthcare Community Plan of D.C. is a Medicaid managed care organization operating as a contracted plan within UnitedHealthcare Community & State, a line of business of UnitedHealth Group (NYSE: UNH). The plan provides comprehensive healthcare coverage to Medicaid-eligible individuals and families in the District of Columbia, including populations with complex medical conditions, seniors requiring home-based care, pregnant women, children in foster care, and individuals with behavioral health needs. It administers benefits through state-level procurement contracts with the D.C. government and direct consumer enrollment pathways.
The plan's product portfolio centers on core Medicaid managed care coverage supplemented by specialized programs including Managed Long-Term Services and Supports (MLTSS), the My Maternity Journey maternal health program, and a Community Grants Program supporting community-led health initiatives. Underlying technology leverages UnitedHealth Group's enterprise infrastructure including shared data analytics, care management systems, and provider networks, though no proprietary technology or AI/ML capabilities are specifically disclosed at the plan level. Marketing and distribution combine state procurement, direct-to-consumer enrollment through uhc.com/communityplan, and state health insurance marketplace channels, supported by a content marketing presence across the corporate website, newsletters, and industry conferences (NAMD, MHPA).
The business model operates on capitation payments from state Medicaid programs, receiving fixed per-member-per-month (PMPM) rates determined through state procurement processes. This subscription-based recurring revenue model is tied to enrollment numbers and contract awards rather than market-based pricing. UnitedHealthcare Community & State operates across 44 states plus Washington D.C., serving millions of Medicaid consumers nationwide, positioning this D.C. entity as one node in a large-scale government-contracted healthcare delivery platform.
UnitedHealthcare Community Plan of D.C. firmographics
Firmographics- Name
- UnitedHealthcare Community Plan of D.C.
- Legal name
- UnitedHealthcare Services, Inc.
- Website
- https://uhccs.com
- Company type
- Public
- Founded year
- 1977
- Operating status
- Operating
- Short description
- UnitedHealthcare Community Plan of D.C. is a Medicaid managed care organization under UnitedHealth Group providing comprehensive healthcare coverage and care management to Medicaid-eligible individuals and families in Washington D.C., including seniors, maternal health, and complex care populations.
- Ownership category
- akta.pro rank
UnitedHealthcare Community Plan of D.C. industry classification
Industry- Product category
- Medicaid Managed Care
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI)
- akta.pro secondary industries
- Children’s & Family Medicaid Managed Care Plans (HLAEAEAF), Specialty Medicaid Managed Care (e.g., HIV/AIDS, SMI/SED) (HLAEAEAG), Maternity & Pregnancy (Perinatal) Medicaid Managed Care Programs (HLAEAEAH)
Keywords
UnitedHealthcare Community Plan of D.C. business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Infrastructure, Technology or R&D, Marketing or Sales, Others
Revenue model
- Medicaid Managed Care Capitation: UnitedHealthcare Community Plan of D.C. generates revenue through capitation payments from state Medicaid programs. The company contracts with state governments to provide comprehensive healthcare coverage for Medicaid-eligible individuals, receiving fixed per-member-per-month (PMPM) payments. This is a subscription-based recurring revenue model driven by Medicaid enrollment numbers and state contract awards.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Medicaid managed care coverage varies by eligibility category |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels8 records
UnitedHealthcare Community Plan of D.C. product offering
Product offeringCore offering
UnitedHealthcare Community Plan of D.C. provides Medicaid managed care coverage to Medicaid-eligible individuals and families in Washington D.C. through a contract with the District of Columbia Medicaid program. The plan offers comprehensive healthcare coverage, care coordination for complex medical conditions, and specialized programs for vulnerable populations such as seniors, pregnant women, foster children, and individuals with behavioral health needs, operating as part of UnitedHealth Group's nationwide Community & State line of business.
Product overview
UnitedHealthcare Community & State is a line of business within UnitedHealth Group dedicated to serving Medicaid consumers across the United States. The company operates as a managed care organization providing health coverage and care management services for low-income individuals, including those with complex medical conditions. The portfolio includes Medicaid managed care plans, specialized programs such as Managed Long-Term Services and Supports (MLTSS), maternal health programs like My Maternity Journey, and various community-based care initiatives covering behavioral health, foster care, and complex care management. The company works directly with state governments to administer Medicaid benefits.
Differentiator
Problem solved
Functional benefit
Products and services
- UnitedHealthcare Community Plan (Medicaid Managed Care)
- Managed Long-Term Services and Supports (MLTSS)
- My Maternity Journey
Quantifiable outcome
- Dedicated maternal health education programs driving timely prenatal and postpartum care
- +1 more outcomes
Companies that use UnitedHealthcare Community Plan of D.C.
Customer profileNamed customers2 records
Segments6 records
Ideal customer profiles3 records
UnitedHealthcare Community Plan of D.C. technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
UnitedHealthcare Community Plan of D.C. partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Washington D.C. Government (Medicaid Program)coreUnitedHealthcare Community Plan of D.C. operates as a contracted Medicaid managed care organization serving District of Columbia Medicaid beneficiaries. The partnership involves providing comprehensive healthcare coverage, care management services, and specialized programs for vulnerable populations including seniors requiring home-based care.
Scale indicators3 records
Recent moves6 records
Expansion highlights4 records
UnitedHealthcare Community Plan of D.C. competitors and assessment
Company assessmentBroad incumbents
- Humana: Humana is a major health insurer with a growing Medicaid segment alongside its dominant Medicare Advantage business. It competes with UnitedHealthcare across multiple government-sponsored lines of business including Medicaid managed care.
- CVS Health (Aetna): CVS Health's Aetna segment offers Medicaid managed care plans in multiple states and competes with UnitedHealthcare Community & State for state contracts. Comparable due to its integrated model combining health insurance with pharmacy and care delivery assets.
- Elevance Health (Anthem): Elevance Health operates Blue Cross Blue Shield plans across the U.S. and its Amerigroup segment is a major Medicaid MCO competing in D.C. and other states. Comparable due to its significant Medicaid presence alongside broader commercial and Medicare lines of business.
- HCSC (Health Care Service Corporation): HCSC is a large, customer-owned health insurer offering Medicaid plans in several states. Comparable as a diversified health plan with growing Medicaid presence, though concentrated in fewer states than UnitedHealthcare Community & State.
Regional players
- Highmark Health: Highmark operates Blue Cross Blue Shield plans in Pennsylvania, Delaware, West Virginia, and New York with a growing Medicaid segment through its affiliates. Comparable for its Medicaid managed care offerings in select geographies, though primarily a regional player.
Direct peers
- AmeriHealth Caritas: AmeriHealth Caritas is a national Medicaid managed care company, with significant D.C. presence serving District Medicaid beneficiaries. A direct competitor to UnitedHealthcare Community Plan of D.C. with similar focus on complex and vulnerable populations.
- Centene Corporation: Centene is the largest Medicaid managed care organization in the United States, with deep Medicaid and Marketplace focus across all 50 states. It is the most directly comparable peer to UnitedHealthcare Community & State, competing head-to-head in D.C. and other state Medicaid procurements.
- CareSource: CareSource is a nonprofit Medicaid managed care plan operating in multiple states. It is highly comparable to UnitedHealthcare Community Plan of D.C. as a mission-driven, Medicaid-focused MCO serving low-income and complex populations, though it has a smaller geographic footprint.
- Kaiser Permanente: Kaiser Permanente is an integrated managed care organization serving Medicaid beneficiaries in several states. Comparable to UnitedHealthcare Community Plan of D.C. as a vertically integrated payer-provider model serving government-sponsored populations, though with a smaller geographic footprint.
- Molina Healthcare: Molina is a pure-play government-sponsored healthcare insurer with a heavy concentration in Medicaid managed care across more than 20 states. It directly competes with the UnitedHealthcare Community Plan of D.C. for state Medicaid contracts and serves similar low-income and complex-needs populations.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights6 records
Customer concentration
UnitedHealthcare Community Plan of D.C. social profiles
Digital presenceUnitedHealthcare Community Plan of D.C. financial estimates
Financial estimateRevenue estimate
Valuation estimate
UnitedHealthcare Community Plan of D.C. leadership team
Management profileNumber of profiles
UnitedHealthcare Community Plan of D.C. funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
UnitedHealthcare Community Plan of D.C. M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about UnitedHealthcare Community Plan of D.C.
What does UnitedHealthcare Community Plan of D.C. do?
UnitedHealthcare Community Plan of D.C. provides Medicaid managed care coverage to Medicaid-eligible individuals and families in Washington D.C. through a contract with the District of Columbia Medicaid program. The plan offers comprehensive healthcare coverage, care coordination for complex medical conditions, and specialized programs for vulnerable populations such as seniors, pregnant women, foster children, and individuals with behavioral health needs, operating as part of UnitedHealth Group's nationwide Community & State line of business.
Is UnitedHealthcare Community Plan of D.C. a public or private company?
UnitedHealthcare Community Plan of D.C. is a public company. It is classified as public and is currently operating.
When was UnitedHealthcare Community Plan of D.C. founded?
UnitedHealthcare Community Plan of D.C. was founded in 1977.
How does UnitedHealthcare Community Plan of D.C. make money?
One revenue line is on record: medicaid Managed Care Capitation.
Who are UnitedHealthcare Community Plan of D.C.'s main competitors?
Broad incumbents on record are Humana, CVS Health (Aetna), Elevance Health (Anthem) and HCSC (Health Care Service Corporation). Highmark Health is listed as a regional player. Direct peers are AmeriHealth Caritas, Centene Corporation, CareSource, Kaiser Permanente and Molina Healthcare.
Does UnitedHealthcare Community Plan of D.C. have an API?
No public API is recorded for UnitedHealthcare Community Plan of D.C..
What industry is UnitedHealthcare Community Plan of D.C. in?
UnitedHealthcare Community Plan of D.C.'s product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAEAI, Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans, with a secondary code of HLAEAEAF, Children’s & Family Medicaid Managed Care Plans. Its SIC code is 6324.